Evidence map›Paper›PMID 32385378›Full record

ArticleScientific reports2020

Fluconazole resistance in Candida albicans is induced by Pseudomonas aeruginosa quorum sensing.

H M H N Bandara, D L A Wood, I Vanwonterghem, P Hugenholtz, B P K Cheung, L P Samaranayake

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. On the mode of anti-Future science OA · 2026
    Article
  2. Review
  3. Roles of Indole and Its Derivative in ModulatingInternational journal of molecular sciences · 2026
    Article
  4. Review
  5. Article
  6. Functional properties ofMicrobiology (Reading, England) · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Candida-bacterial cross-kingdom interactions.Trends in microbiology · 2023
    Review
  12. Review
  13. Review
  14. Journal of fungi (Basel, Switzerland) · 2023
    Article
  15. Article
  16. Biofilm · 2022
    Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

H M H N BandaraOral Microbiology, Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK. nihal.bandara@bristol.ac.uk.
D L A WoodAustralian Centre for Ecogenomics, School of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, Australia.
I VanwonterghemAustralian Centre for Ecogenomics, School of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, Australia.
P HugenholtzAustralian Centre for Ecogenomics, School of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, QLD 4072, Australia.
B P K CheungFaculty of Dentistry, The University of Hong Kong, 34 Hospital Rd, Sai Ying Pun, Hong Kong SAR, China.
L P SamaranayakeCollege of Dental Medicine, The University of Sharjah, P.O. Box, 27272, Sharjah, UAE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microorganisms employ quorum sensing (QS) mechanisms to communicate with each other within microbial ecosystems. Emerging evidence suggests that intraspecies and interspecies QS plays an important role in antimicrobial resistance in microbial communities. However, the relationship between interkingdom QS and antimicrobial resistance is largely unknown. Here, we demonstrate that interkingdom QS interactions between a bacterium, Pseudomonas aeruginosa and a yeast, Candida albicans, induce the resistance of the latter to a widely used antifungal fluconazole. Phenotypic, transcriptomic, and proteomic analyses reveal that P. aeruginosa's main QS molecule, N-(3-Oxododecanoyl)-L-homoserine lactone, induces candidal resistance to fluconazole by reversing the antifungal's effect on the ergosterol biosynthesis pathway. Accessory resistance mechanisms including upregulation of C. albicans drug-efflux, regulation of oxidative stress response, and maintenance of cell membrane integrity, further confirm this phenomenon. These findings demonstrate that P. aeruginosa QS molecules may confer protection to neighboring yeasts against azoles, in turn strengthening their co-existence in hostile polymicrobial infection sites.

Indexed as

Drug Resistance, FungalQuorum SensingAntifungal AgentsBiosynthetic PathwaysCandida albicansErgosterolFluconazoleGene Expression Regulation, FungalMicrobial InteractionsPseudomonas aeruginosaAntifungal AgentsErgosterolFluconazole

Identifiers

PMID32385378
PMCPMC7211000

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.